Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $140.32 / $291.16	Facility		$140.32	$140.32	$291.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $140.32 / $185.92	Professional		$116.64	$140.32	$185.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.14 / $365.93 / $457.99	Facility		$297.14	$365.93	$457.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $175.40 / $377.11	Professional		$149.09	$175.40	$377.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.28 / $244.23 / $460.83	Facility		$133.28	$244.23	$460.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $130.26 / $259.13	Professional		$81.44	$130.26	$259.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $140.32 / $254.33	Facility		$140.32	$140.32	$254.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $114.01 / $140.32	Professional		$114.01	$114.01	$140.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $175.40 / $335.89	Professional		$114.01	$175.40	$335.89
United Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $206.97 / $210.48	Facility		$105.24	$206.97	$210.48
United Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $105.24 / $180.66	Professional		$87.70	$105.24	$180.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $305.20 / $833.15 / $833.15	Facility		$305.20	$833.15	$833.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $873.49 / $873.49 / $1,315.50	Professional		$873.49	$873.49	$1,315.50